Good Samaritan Society - Mary Jane Brown
Luverne, Rock County, Minnesota · CCN 245568 · Non-profit (Corporation) · part of Good Samaritan Society (92 facilities, chain average 3 stars)
CMS rates Good Samaritan Society - Mary Jane Brown 1 of 5 overall as of August 2026. 51 certified beds, 46 residents a day on average. 32 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $57,045.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 1 / — of 5 |
Staffing
| Total nurse staffing | 3.88158 hours per resident per day |
|---|---|
| Registered nurses | 0.97108 hours per resident per day |
| Weekend total | 3.07727 hours per resident per day |
| Nursing staff turnover | 60% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-01 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-01 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2025-01-14 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-14 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2024-12-27 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-30 |
| 2024-08-06 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-09-06 |
| 2024-08-06 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-06 |
| 2024-02-08 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-08 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-08 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2024-02-08 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-06 |
| 2023-10-18 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 complaint survey |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
| 2023-10-18 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-28 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-06 | Fine | $57,045 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Sanford Organization | 5% or greater direct ownership interest | 100% | 2019-01-01 |
| The Evangelical Lutheran Good Samaritan Society Organization | 5% or greater indirect ownership interest | 100% | 2019-01-01 |
| Dtn Staffing Inc. Organization | adp of the snf | — | 2024-08-02 |
| Focusone Solutions Organization | adp of the snf | — | 2024-03-04 |
| Grape Tree Medical Staffing LLC Organization | adp of the snf | — | 2018-04-13 |
| Sanford Organization | adp of the snf | — | 2025-11-28 |
| The Evangelical Lutheran Good Samaritan Society Organization | adp of the snf | — | 2019-01-01 |
| Brown, George Individual | adp of the snf | — | 2025-01-01 |
| Chesley, Stephan Individual | adp of the snf | — | 2018-07-09 |
| Dykhouse, Dana Individual | adp of the snf | — | 2024-05-30 |
| Engbrecht, Wesley Individual | adp of the snf | — | 2024-05-30 |
| Fluit, Joel Individual | adp of the snf | — | 2022-10-01 |
| Gassen, William Individual | adp of the snf | — | 2024-05-30 |
| Gulsvig, Neil Individual | adp of the snf | — | 2024-05-30 |
| Herseth Sandlin, Stephanie Individual | adp of the snf | — | 2024-05-30 |
| Lundeen, Mark Individual | adp of the snf | — | 2024-05-30 |
| Mccausland, Maureen Individual | adp of the snf | — | 2025-01-01 |
| Middleton, Aimee Individual | adp of the snf | — | 2022-01-27 |
| Molbert, Lauris Individual | adp of the snf | — | 2024-05-30 |
| Morrison, Tony Individual | adp of the snf | — | 2019-01-01 |
| North, Andrew Individual | adp of the snf | — | 2024-05-30 |
| Olson, Nicholas Individual | adp of the snf | — | 2024-04-08 |
| Sandgren, Deeandra Individual | adp of the snf | — | 2023-07-16 |
| Schema, Nathan Individual | adp of the snf | — | 2022-01-01 |
| Schieffer, Kevin Individual | adp of the snf | — | 2025-01-01 |
| Shulkin, David Individual | adp of the snf | — | 2024-05-30 |
| Teiken, Brent Individual | adp of the snf | — | 2024-05-30 |
| Ventling-Herrmann, Marnie Individual | adp of the snf | — | 2024-05-30 |
| Wenzel, Thomas Individual | adp of the snf | — | 2025-01-01 |
| Yeaton, Timothy Individual | adp of the snf | — | 2025-02-24 |
| Brown, George Individual | corporate director | — | 2025-01-01 |
| Dykhouse, Dana Individual | corporate director | — | 2024-05-30 |
| Engbrecht, Wesley Individual | corporate director | — | 2024-05-30 |
| Gassen, William Individual | corporate director | — | 2024-05-30 |
| Gulsvig, Neil Individual | corporate director | — | 2024-05-30 |
| Herseth Sandlin, Stephanie Individual | corporate director | — | 2024-05-30 |
| Lundeen, Mark Individual | corporate director | — | 2024-05-30 |
| Mccausland, Maureen Individual | corporate director | — | 2025-01-01 |
| Molbert, Lauris Individual | corporate director | — | 2024-05-30 |
| North, Andrew Individual | corporate director | — | 2024-05-30 |
| Schieffer, Kevin Individual | corporate director | — | 2025-01-01 |
| Shulkin, David Individual | corporate director | — | 2024-05-30 |
| Teiken, Brent Individual | corporate director | — | 2024-05-30 |
| Ventling-Herrmann, Marnie Individual | corporate director | — | 2024-05-30 |
| Wenzel, Thomas Individual | corporate director | — | 2025-01-01 |
| Fluit, Joel Individual | corporate officer | — | 2022-10-01 |
| Gassen, William Individual | corporate officer | — | 2024-05-30 |
| Middleton, Aimee Individual | corporate officer | — | 2022-01-27 |
| Olson, Nicholas Individual | corporate officer | — | 2024-04-08 |
| Schema, Nathan Individual | corporate officer | — | 2022-01-01 |
| Chesley, Stephan Individual | operational/managerial control | — | 2018-07-09 |
| Morrison, Tony Individual | operational/managerial control | — | 2019-01-01 |
| Sandgren, Deeandra Individual | operational/managerial control | — | 2023-07-16 |
| Yeaton, Timothy Individual | operational/managerial control | — | 2025-02-24 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Good Samaritan Society - Mary Jane Brown.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Rock County.